Olive Crest | |
3516 S 47th St Ste 203 Tacoma WA 98409-4475 | |
(253) 572-7888 | |
(253) 572-7727 |
Full Name | Olive Crest |
---|---|
Speciality | Community/behavioral Health |
Location | 3516 S 47th St Ste 203, Tacoma, Washington |
Authorized Official Name and Position | Donald Verleur (CEO) |
Authorized Official Contact | 7145435437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olive Crest 2130 E 4th St Ste 200 Santa Ana CA 92705-3818 Ph: (714) 856-7177 | Olive Crest 3516 S 47th St Ste 203 Tacoma WA 98409-4475 Ph: (253) 572-7888 |
NPI Number | 1508491697 |
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Provider Enumeration Date | 03/09/2020 |
Last Update Date | 03/24/2020 |
Certification Date | 03/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508491697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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